Doret, Wendy Barbara

Doret, Wendy Barbara is an sole proprietor health care provider with primary practice located at 49 Fairfield Dr , Dix Hills NY 11746-7162. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Doret, Wendy Barbara can be contacted via phone (631) 243-6528.

Contact Information

Primary practice address
49 Fairfield Dr Dix Hills NY 11746-7162
Fax: (631) 243-6387
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6257 New York

Profile Details

NPI number 1194866137
LBN Legal business name Doret, Wendy Barbara
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194866137 NPPES
New York MEDICAID 00747695

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